Summary Stage 2018: Conjunctiva

Summary Stage 2018

Notes

**Conjunctiva** 8000-8700, 8941-8960, 8965-8983, 9000, 9050-9070, 9072-9111, 9270, 9300-9312, 9340-9363, 9380-9420, 9423-9472, 9474-9493, 9501-9509, 9520-9521, 9523, 9531-9539, 9541 C690: Conjunctiva **Note 1:** **Sources used in the development of this chapter** * SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 1998) (https://seer.cancer.gov/archive/manuals/EOD10Dig.3rd.pdf) * SEER Summary Staging Manual-2000: Codes and Coding Instructions (https://seer.cancer.gov/tools/ssm/ssm2000/) * Collaborative Stage Data Collection System, version 02.05: https://cancerstaging.org/cstage/Pages/default.aspx * Chapter 65 *Conjunctival Carcinoma*, in the AJCC Cancer Staging Manual, Eighth Edition (2017) published by Springer International Publishing. Used with permission of the American College of Surgeons, Chicago, Illinois. **Note 2:** **Other Summary Stage Chapters with Conjunctiva sites** * **GIST**: 8935-8936 * **Kaposi Sarcoma**: 9140 * **Melanoma Conjunctiva**: 8720-8790 * **Mycosis Fungoides**: 9700-9701 * **Orbital Sarcoma**: 8710-8714, 8800-8921, 8932-8934, 8940-8990, 9000-9016, 9030-9138, 9141-9175, 9181-9230, 9240-9509, 9520-9582 * **Retinoblastoma**: 9510-9514 * **Soft Tissue**: 8930-8931, 8991-8992, 9020, 9180, 9231

NAACCR Item

NAACCR #764

SS2018	Description
0	In situ, intraepithelial, noninvasive * CIN III (conjunctival intraepithelial neoplasia III) * SIN III (squamous intraepithelial neoplasia III) Tumor has not invaded through the conjunctival basement membrane
1	Localized only (localized, NOS) * Confined to conjunctiva, NOS WITH invasion of the conjunctival basement membrane * Confined to one subsite of conjunctiva - Bulbar conjunctiva - Forniceal conjunctiva - Palpebral conjunctiva - Tarsal conjunctiva * Invasion of Cornea (3, 6, 9, or 12 o'clock hours) - Intraocular compartments - Intraocular extension WITHOUT invasion of adjacent structures
2	Regional by direct extension only * More than one subsite of conjunctiva involved * Adjacent extraocular extension - Anterior eyelid lamella - Caruncle - Eyelid margin (lower and/or upper) - Lacrimal punctum and canaliculi (lower and/or upper) - Plica - Posterior eyelid lamella * Adjacent paranasal sinuses * Bone, bone of orbit * Orbit, NOS * Orbital soft tissues WITHOUT bone invasion * Sinus, NOS
3	Regional lymph node(s) involved only * Cervical, NOS * Mandibular, NOS - Submandibular (submaxillary) * Parotid, NOS - Infra-auricular - Preauricular * Regional lymph node(s), NOS - Lymph node(s), NOS
4	Regional by BOTH direct extension AND regional lymph node(s) involved * Codes (2) + (3)
7	Distant site(s)/lymph node(s) involved * Distant site(s) (including further contiguous extension) - Central nervous system * Distant lymph node(s), NOS * Distant metastasis, NOS - Carcinomatosis - Distant metastasis WITH or WITHOUT distant lymph node(s)
9	Unknown if extension or metastasis

(1) Fritz AG, Ries LAG (eds). **SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 1998)**, National Cancer Institute, NIH Pub. No. 98-2313, Bethesda, MD, 1998 (2) Young JL Jr, Roffers SD, Ries LAG, Fritz AG, Hurlbut AA (eds.). **SEER Summary Staging Manual-2000: Codes and Coding Instructions**, National Cancer Institute, NIH Pub. No. 01-4969, Bethesda, MD, 2001. (3) Collaborative Stage Work Group of the American Joint Committee on Cancer. **Collaborative Stage Data Collection System User Documentation and Coding Instructions, version 02.05**. American Joint Committee on Cancer (Chicago, IL) (4) Gress, D.M., Edge, S.B., Gershenwald, J.E., et al. **Principles of Cancer Staging**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017 (5) Conway, R.M., Finger, P.T., et al. **Conjunctival Carcinoma**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017 (6) **Conjunctival Carcinoma**, from the AJCC Cancer Staging System Version 9 (2026). Used with permission of the American College of Surgeons, Chicago, Illinois.

SS2018	Description
0	In situ, intraepithelial, noninvasive * CIN III (conjunctival intraepithelial neoplasia III) * SIN III (squamous intraepithelial neoplasia III) Tumor has not invaded through the conjunctival basement membrane
1	Localized only (localized, NOS) * Confined to conjunctiva, NOS WITH invasion of the conjunctival basement membrane * Confined to one subsite of conjunctiva - Bulbar conjunctiva - Forniceal conjunctiva - Palpebral conjunctiva - Tarsal conjunctiva * Invasion of Cornea (3, 6, 9, or 12 o'clock hours) - Intraocular compartments - Intraocular extension WITHOUT invasion of adjacent structures
2	Regional by direct extension only * More than one subsite of conjunctiva involved * Adjacent extraocular extension - Anterior eyelid lamella - Caruncle - Eyelid margin (lower and/or upper) - Lacrimal punctum and canaliculi (lower and/or upper) - Plica - Posterior eyelid lamella * Adjacent paranasal sinuses * Bone, bone of orbit * Orbit, NOS * Orbital soft tissues WITHOUT bone invasion * Sinus, NOS
3	Regional lymph node(s) involved only * Cervical, NOS * Mandibular, NOS - Submandibular (submaxillary) * Parotid, NOS - Infra-auricular - Preauricular * Regional lymph node(s), NOS - Lymph node(s), NOS
4	Regional by BOTH direct extension AND regional lymph node(s) involved * Codes (2) + (3)
7	Distant site(s)/lymph node(s) involved * Distant site(s) (including further contiguous extension) - Central nervous system * Distant lymph node(s), NOS * Distant metastasis, NOS - Carcinomatosis - Distant metastasis WITH or WITHOUT distant lymph node(s)
9	Unknown if extension or metastasis